Combined AlloDerm® and thin skin grafting for the treatment of postburn dyspigmented scar contracture of the upper extremity

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Suk Joon Oh, Yoojeong Kim

Abstract

Postburn dyspigmented scar contractures of the upper extremity often require aesthetic improvement. The ideal reconstruction of this deformity remains a challenge because the various available skin grafts and flaps result in skin colour mismatches, prominent marginal scars and donor morbidity. Postburn scar contractures and dyspigmented areas of the upper extremity can be improved by a combination of dermabrasion and Alloderm(®) graft over scar-releasing defect. Their raw surfaces are subsequently re-surfaced with thin split-thickness skin graft (0.005-0007 inches thick). Twenty-seven patients with wide dyspigmented scar contractures of the upper extremity underwent the combined techniques described by us. The median patient age at burn incidents was 3 years and at operation was 24 years. Median thin skin graft area was 180cm(2), and the median AlloDerm(®) graft area was 40cm(2). Thin skin and AlloDerm(®) grafts took root completely in all patients without re-grafting. Follow-up periods ranged from 30 to 67 months (average 47.6 months). Re-pigmentation was achieved in all cases and all scar contractures were adequately released and treated with an AlloDerm(®) graft. Paired differences between preoperative and postoperative para...Continue Reading

References

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Citations

Jan 16, 2014·Journal of Hand and Microsurgery·Ozay OzkayaMithat Akan
Feb 15, 2013·Annals of Plastic Surgery·Ahmed M S IbrahimSamuel J Lin
Jun 19, 2013·Burns : Journal of the International Society for Burn Injuries·Zephanie TyackMegan Simons
Sep 23, 2011·Aesthetic Surgery Journal·David J Wainwright, Sean B Bury
Jul 23, 2014·Journal of Burn Care & Research : Official Publication of the American Burn Association·Carlijn M StekelenburgPaul P M van Zuijlen
Nov 5, 2014·Annals of Surgical Treatment and Research·Dong-Kook SeoJun Hur
Jan 1, 2015·Burns and Trauma·Ppm van ZuijlenE Middelkoop
Mar 14, 2017·Scars, Burns & Healing·Vidya FinlayFiona M Wood
Apr 13, 2019·Journal of Wound Care·Youn Hwan KimSang Wha Kim
May 10, 2019·Tissue Engineering. Part B, Reviews·Mustafa Hussain KathawalaKee Woei Ng
Aug 18, 2020·Plastic and Reconstructive Surgery. Global Open·Matthijs BotmanPaul P M Van Zuijlen
Oct 1, 2018·Progress in Polymer Science·Shengjie LingDavid L Kaplan

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